Individual
DR. BRIAN FRANCIS LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 S BOND AVE # CH6D, PORTLAND, OR 97239-4501
(503) 494-1983
(503) 418-3683
Mailing address
3303 S BOND AVE # CH6D, PORTLAND, OR 97239-4501
(503) 494-1983
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
58639
TN
208600000X
Surgery Physician
Primary
MD214459
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2510018
—
OH
Enumeration date
01/19/2006
Last updated
10/23/2023
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